Part D Prescription Drug Plans

If you're looking for the most affordable Medicare Advantage Plan with the best coverage it's time to speak with us. We are the specialists in Medicare Advantage Plans.

Let us help you with your enrollment

If you are already enrolled in a Part D “standalone” plan or a Medicare Advantage plan that incorporates drug coverage, you can switch plans during the open-enrollment period, which runs from Oct. 15 to Dec. 7 every year.

You can sign up for Part D Prescription Drug Plans, which helps cover prescription drug costs, along with other components of Medicare starting three months before your 65th birthday.

It’s important to do this on time because there’s a permanent premium surcharge for enrolling more than three months after your 65th birthday if you don’t have equivalent drug coverage from another source, such as an employer or a retiree plan.

Making Part D work

CMS has released the following 2023 parameters for the defined standard Medicare Part D prescription drug benefit:

Deductible: $505 ($480 in 2022);
Initial coverage limit: $4,660 ($4,430 in 2022);
Out-of-pocket threshold: $7,400 ($7,050 in 2022);
Total covered Part D spending at the out-of-pocket expense threshold for beneficiaries who are not eligible for the coverage gap discount program: $10,516.25 ($10,012.50 in 2022);
Estimated total covered Part D spending at the out-of-pocket expense threshold for beneficiaries who are eligible for the coverage gap discount program: $11,206.28 ($10,690.20 in 2022); and
Minimum cost-sharing under the catastrophic coverage portion of the benefit: $4.15 for generic/preferred multi-source drugs and $10.35 for all other drugs ($3.95 and $9.85, respectively, in 2022).

Choosing a Part D plan

It pays to review your Part D coverage every year, especially if you have started taking new drugs.

You can “do it yourself” at Medicare.gov, where you can find the basics about the benefit and Part D plans. There’s a link to the Medicare Part D Plan Finder, which allows you to compare offerings and coverage options in your area and includes a helpful formulary finder that allows you to compare plans based on their coverage of your personalized list of drugs. It will even show you your monthly out-of-pocket drug cost for the year.

Or,

“Option B” – let us help you. We consider it very important to make certain the plan that (hopefully) served you well during the year, will do so in the coming year as well. Sometimes, things change:

The plan may have changed its monthly premium, or changed the deductible
Your prescriptions have changed
Your particular med has experienced a change within the formulary (maybe no longer carried, changed Tier–meaning cost, or something)
A pharmacy source may have become more “Preferred” or less so (more costly).

The point is that we attempt to confirm the best drug coverage each and every year so that you may be confident going forward, and we have provided valuable service to you. That is very important to us!

Getting financial help for Part D

In 2023, individuals with annual incomes of less than $20,385 and financial resources of less than $15,510, or married couples with incomes of less than $27,465, and financial resources less than $30,950, might qualify for Extra Help from Medicare to pay their Part D premiums and out-of-pocket drug costs.

Additionally, read about the six ways to lower your drug costs on Medicare.gov.

This information obtained from www.medicare.gov

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